| NPI | 1518247014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA 60270495) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: NC 200002089555) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2022-03-30 |